Mod-phi convergence I: Normality zones and precise deviations

In this paper, we use the framework of mod-$\phi$ convergence to prove precise large or moderate deviations for quite general sequences of real valued random variables $(X_{n})_{n \in \mathbb{N}}$, which can be lattice or non-lattice distributed. We establish precise estimates of the fluctuations $P[X_{n} \in t_{n}B]$, instead of the usual estimates for the rate of exponential decay $\log( P[X_{n}\in t_{n}B])$. Our approach provides us with a systematic way to characterise the normality zone, that is the zone in which the Gaussian approximation for the tails is still valid. Besides, the residue function measures the extent to which this approximation fails to hold at the edge of the normality zone. The first sections of the article are devoted to a proof of these abstract results and comparisons with existing results. We then propose new examples covered by this theory and coming from various areas of mathematics: classical probability theory, number theory (statistics of additive arithmetic functions), combinatorics (statistics of random permutations), random matrix theory (characteristic polynomials of random matrices in compact Lie groups), graph theory (number of subgraphs in a random Erd\H{o}s-R\'enyi graph), and non-commutative probability theory (asymptotics of random character values of symmetric groups). In particular, we complete our theory of precise deviations by a concrete method of cumulants and dependency graphs, which applies to many examples of sums of "weakly dependent" random variables. The large number as well as the variety of examples hint at a universality class for second order fluctuations.Comment: 103 pages. New (final) version: multiple small improvements ; a new section on mod-Gaussian convergence coming from the factorization of the generating function ; the multi-dimensional results have been moved to a forthcoming paper ; and the introduction has been reworke

The Medical Institutional Repositories in Libraries (MIRL) Symposium: a blueprint designed in response to a community of practice need.

BACKGROUND: Health sciences libraries in medical schools, academic health centers, health care networks, and hospitals have established institutional repositories (IRs) to showcase their research achievements, increase visibility, expand the reach of institutional scholarship, and disseminate unique content. Newer roles for IRs include publishing open access journals, tracking researcher productivity, and serving as repositories for data sharing. Many repository managers oversee their IR with limited assistance from others at their institution. Therefore, IR practitioners find it valuable to network and learn from colleagues at other institutions. CASE PRESENTATION: This case report describes the genesis and implementation of a new initiative specifically designed for a health sciences audience: the Medical Institutional Repositories in Libraries (MIRL) Symposium. Six medical librarians from hospitals and academic institutions in the U.S. organized the inaugural symposium held virtually in November 2021. The goal was to fill a perceived gap in conference programming for IR practitioners in health settings. Themes of the 2021 and subsequent 2022 symposium included IR management, increasing readership and engagement, and platform migration. Post-symposium surveys were completed by 73/238 attendees (31%) in 2021 and by 62/180 (34%) in 2022. Feedback was overwhelmingly positive. DISCUSSION: Participant responses in post-symposium surveys rated MIRL highly. The MIRL planning group intends to continue the symposium and hopes MIRL will steadily evolve, build community among IR practitioners in the health sciences, and expand the conversation around best practices for digital archiving of institutional content. The implementation design of MIRL serves as a blueprint for collaboratively bringing together a professional community of practice

Wearable-based assessment of heart rate response to physical stressors in patients after open-heart surgery with frailty

Due to frailty, cardiac rehabilitation in older patients after open-heart surgery must be carefully tailored, thus calling for informative and convenient tools to assess the effectiveness of exercise training programs. The study investigates whether heart rate (HR) response to daily physical stressors can provide useful information when parameters are estimated using a wearable device. The study included 100 patients after open-heart surgery with frailty who were assigned to intervention and control groups. Both groups attended inpatient cardiac rehabilitation however only the patients of the intervention group performed exercises at home according to the tailored exercise training program. While performing maximal veloergometry test and submaximal tests, i.e., walking, stair-climbing, and stand up and go, HR response parameters were derived from a wearable-based electrocardiogram. All submaximal tests showed moderate to high correlation ( r = 0.59–0.72) with veloergometry for HR recovery and HR reserve parameters. While the effect of inpatient rehabilitation was only reflected by HR response to veloergometry, parameter trends over the entire exercise training program were also well followed during stair-climbing and walking. Based on study findings, HR response to walking should be considered for assessing the effectiveness of home-based exercise training programs in patients with frailty

POSTCLOSURE GROUNDWATER REMEDIATION AND MONITORING AT THE SANITARY LANDFILL, SAVANNAH RIVER SITE TRANSITIONING TO MONITORED NATURAL ATTENUATION

Resource Conservation and Recovery Act (RCRA) requirements for hazardous waste facilities include 30 years of post-closure monitoring. The use of an objective-based monitoring strategy allows for a significant reduction in the amount of groundwater monitoring required, as the groundwater remediation transitions from an active biosparging system to monitored natural attenuation. The lifecycle of groundwater activities at the landfill has progressed from detection monitoring and plume characterization, to active groundwater remediation, and now to monitored natural attenuation and postclosure monitoring. Thus, the objectives of the groundwater monitoring have changed accordingly. Characterization monitoring evaluated what biogeochemical natural attenuation processes were occurring and determined that elevated levels of radium were naturally occurring. Process monitoring of the biosparging system required comprehensive sampling network up- and down-gradient of the horizontal wells to verify its effectiveness. Currently, the scope of monitoring and reporting can be significantly reduced as the objective is to demonstrate that the alternate concentration limits (ACL) are being met at the point of compliance wells and the maximum contaminant level (MCL) is being met at the surface water point of exposure. The proposed reduction is estimated to save about $2M over the course of the remaining 25 years of postclosure monitoring

The Effect of Park and Urban Environments on Coronary Artery Disease Patients: A Randomized Trial

© 2015 Regina Grazuleviciene et al. Aim. To test the hypothesis that walking in a park has a greater positive effect on coronary artery disease (CAD) patients' hemodynamic parameters than walking in an urban environment. Methods. Twenty stable CAD patients were randomized into two groups: 30-minute walk on 7 consecutive days in either a city park or busy urban street. Wilcoxon signed-rank test was employed to study short-term (30 min) and cumulative changes (following 7 consecutive days of exposure) in resting hemodynamic parameters in different environments. Results. There were no statistically significant differences in the baseline and peak exercise systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), exercise duration, or HR recovery in urban versus park exposure groups. Seven days of walking slightly improved all hemodynamic parameters in both groups. Compared to baseline, the city park group exhibited statistically significantly greater reductions in HR and DBP and increases in exercise duration and HR recovery. The SBP and DBP changes in the urban exposed group were lower than in the park exposed group. Conclusions. Walking in a park had a greater positive effect on CAD patients' cardiac function than walking in an urban environment, suggesting that rehabilitation through walking in green environments after coronary events should be encouraged

Clinical Study The Effect of Park and Urban Environments on Coronary Artery Disease Patients: A Randomized Trial

Aim. To test the hypothesis that walking in a park has a greater positive effect on coronary artery disease (CAD) patients' hemodynamic parameters than walking in an urban environment. Methods. Twenty stable CAD patients were randomized into two groups: 30-minute walk on 7 consecutive days in either a city park or busy urban street. Wilcoxon signed-rank test was employed to study short-term (30 min) and cumulative changes (following 7 consecutive days of exposure) in resting hemodynamic parameters in different environments. Results. There were no statistically significant differences in the baseline and peak exercise systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), exercise duration, or HR recovery in urban versus park exposure groups. Seven days of walking slightly improved all hemodynamic parameters in both groups. Compared to baseline, the city park group exhibited statistically significantly greater reductions in HR and DBP and increases in exercise duration and HR recovery. The SBP and DBP changes in the urban exposed group were lower than in the park exposed group. Conclusions. Walking in a park had a greater positive effect on CAD patients' cardiac function than walking in an urban environment, suggesting that rehabilitation through walking in green environments after coronary events should be encouraged

Impact of nutraceuticals on markers of systemic inflammation: Potential relevance to cardiovascular diseases – A position paper from the International Lipid Expert Panel (ILEP)

Inflammation is a marker of arterial disease stemming from cholesterol-dependent to -independent molecular mechanisms. In recent years, the role of inflammation in atherogenesis has been underpinned by pharmacological approaches targeting systemic inflammation that have led to a significant reduction in cardiovascular disease (CVD) risk. Although the use of nutraceuticals to prevent CVD has largely focused on lipid-lowering (e.g, red-yeast rice and omega-3 fatty acids), there is growing interest and need, especially now in the time of coronavirus pandemic, in the use of nutraceuticals to reduce inflammatory markers, and potentially the inflammatory CVD burden, however, there is still not enough evidence to confirm this. Indeed, diet is an important lifestyle determinant of health and can influence both systemic and vascular inflammation, to varying extents, according to the individual nutraceutical constituents. Thus, the aim of this Position Paper is to provide the first attempt at recommendations on the use of nutraceuticals with effective anti-inflammatory properties